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Osteoarticular complications of brucellosis (melitensis)

Abstract number: 1734_99

Taghavi N., Haghighi M.

Objectives: Bone and joint involvement in brucellosis is one of the most common complication that is reported in 20–85% of the cases. This study has been carried out to determine the rate of osteoarticular complications in patients who have been admitted in ``Booali Hospital'' due to brucellosis in 2003–2005.

Methods: 109 patients had entered this descriptive study. Brucellosis was determined based on clinical picture accompanying the raised titer of specific antibody measured by standard agglutination test (STA). Radiography and bone scans were obtained as needed.

Results: Of 109 patients, 72 (66%) were presented with osteoarticular complication. Spondylitis, sacroiliitis, and knee involvement were the most common complications. 39 (42.2%) patients had experienced the involvement of more than one joint at the same time. 40 (36%) patients were affected with spondylitis. Most of them (75%) were in the range of 55–60 years old. Bone scan was more sensitive for detecting spondylitis.

Conclusion: Spondylitis was the most common osteoarticular complication of brucellosis that was seen more in older patients. Radiography (sensitivity 48.7%) and particularely bone scan (sensitivity 64%) are highly recommended in susceptible cases.

Session Details

Date: 31/03/2007
Time: 00:00-00:00
Session name: European Society of Clinical Microbiology and Infectious Diseases
Subject:
Location: ICC, Munich, Germany
Presentation type:
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